Individual provider Active NPI

Charles M Sidell, D.C.

  • Chiropractor
  • Gorham, NH
National Provider Identifier
1437158698
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
531-0498 Issued in NH
Practice address
630 Main St
Gorham, NH 03581-4900
Phone
(603) 752-7727
Fax
(603) 752-2820
NPI assigned
Jul 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 531-0498 NH Primary

Addresses

Primary practice location

630 Main St
Gorham, NH 03581-4900

Mailing address

630 Main St
Gorham, NH 03581-4900
Phone (603) 752-7727

Other identifiers 3

IdentifierTypeStateIssuer
0501745Y0NH01OtherNHANTHEM BLUE CROSS BLUE SH
41581OtherNHCIGNA
30250401MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
531-0498NHMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437158698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MAIN ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035814900",
            "telephone_number": "603-752-7727",
            "fax_number": "603-752-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MAIN ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035814900",
            "telephone_number": "603-752-7727",
            "fax_number": "603-752-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDELL",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "531-0498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "0501745Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "41581",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30250401",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.